Provider Demographics
NPI:1508082520
Name:VOGELZANG LTD
Entity Type:Organization
Organization Name:VOGELZANG LTD
Other - Org Name:NEVADA CANCER INSTITUTE MEDICAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHYSICIAN RELATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-822-5199
Mailing Address - Street 1:1 BREAKTHROUGH WAY
Mailing Address - Street 2:10441 W. TWAIN AVENUE
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89135-3011
Mailing Address - Country:US
Mailing Address - Phone:702-822-5199
Mailing Address - Fax:702-944-0451
Practice Address - Street 1:1 BREAKTHROUGH WAY
Practice Address - Street 2:10441 W. TWAIN AVENUE
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89135-3011
Practice Address - Country:US
Practice Address - Phone:702-822-5199
Practice Address - Fax:702-944-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11892207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty